PMID- 12960960 OWN - NLM STAT- MEDLINE DCOM- 20031007 LR - 20061115 IS - 0022-2143 (Print) IS - 0022-2143 (Linking) VI - 142 IP - 2 DP - 2003 Aug TI - Attenuation by intravenous 2-chloroadenosine of acute lung injury induced by live escherichia coli or latex particles added to endotoxin in the neutropenic state. PG - 128-35 AB - Although neutrophil depletion can reduce the level of acute lung injury (ALI) induced by Escherichia coli endotoxin, that induced by live E coli cannot be attenuated even in neutropenia. This suggests that live E coli cause ALI by way of an mechanism independent of circulating neutrophil. Tumor necrosis factor-alpha (TNF-alpha), which is released from monocytes and macrophages, is a proinflammatory cytokine that is recognized as a central mediator of several forms of inflammation. In this controlled experimental study, we examined the effects of an adenosine-receptor agonist, 2-chloroadenosine (2CA), that has suppressive effects on various cell types and TNF-alpha, on endotoxin plus latex particles, and on ALI induced by live E coli in the neutropenic state. We studied 42 guinea pigs rendered neutropenic by means of intraperitoneal cyclophosphamide administration. Experimental groups consisted of (1) a saline-solution control group; (2) an endotoxin (0.2 mg/kg)-treated group; (3) a group treated with endotoxin plus 2CA (10 micro g/kg); (4) a group treated with latex (2 x 10(9)/kg); (5) a group exposed to endotoxin and latex; (6) a group exposed to endotoxin, latex, and 2CA; (7) a group exposed to E coli (2 x 10(9)/kg); and (8) a group exposed to E coli and 2CA. The injection of endotoxin alone in neutropenic animals did not increase the indexes of ALI (lung tissue/plasma ratio [T/P] and lung wet weight/dry weight ratio [W/D], calculated with the use of iodine 125-labeled albumin). In contrast, these indexes were increased in the endotoxin-and-latex groups compared with those of the control group. ALI in the endotoxin-and-latex group was attenuated by intravenous 2CA. The intravenous injection of live E coli also caused increases in T/P, W/D, and plasma TNF-alpha, but thse were limited by 2CA. In summary, ALI induced by latex particles added to endotoxin and live E coli in the neutropenic state was attenuated by 2CA, suggesting a partial contribution of various cell types or humoral mediators as a neutrophil-independent pathway in its pathogenesis. FAU - Sakamaki, Fumio AU - Sakamaki F AD - Department of Medicine, Cardiopulmonary Division, School of Medicine, Keio University, Japan. sakamaki@tachikawa-hosp.gr.jp FAU - Ishizaka, Akitoshi AU - Ishizaka A FAU - Urano, Tetsuya AU - Urano T FAU - Sayama, Koichi AU - Sayama K FAU - Nakamura, Hidetoshi AU - Nakamura H FAU - Terashima, Takeshi AU - Terashima T FAU - Waki, Yasuhiro AU - Waki Y FAU - Soejima, Kenzo AU - Soejima K FAU - Tasaka, Sadatomo AU - Tasaka S FAU - Sawafuji, Makoto AU - Sawafuji M FAU - Kobayashi, Kouichi AU - Kobayashi K FAU - Yamaguchi, Kazuhiro AU - Yamaguchi K FAU - Kanazawa, Minoru AU - Kanazawa M LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Lab Clin Med JT - The Journal of laboratory and clinical medicine JID - 0375375 RN - 0 (Endotoxins) RN - 0 (Tumor Necrosis Factor-alpha) RN - 146-77-0 (2-Chloroadenosine) RN - 67924-63-4 (endotoxin, Escherichia coli) SB - IM MH - 2-Chloroadenosine/*pharmacology MH - Acute Disease MH - Animals MH - Endotoxins/pharmacology MH - *Escherichia coli MH - Escherichia coli Infections/*immunology MH - Guinea Pigs MH - Injections, Intravenous MH - Lung Diseases/*drug therapy/immunology/microbiology MH - Microspheres MH - Neutropenia/*immunology/microbiology MH - Specific Pathogen-Free Organisms MH - Tumor Necrosis Factor-alpha/metabolism EDAT- 2003/09/10 05:00 MHDA- 2003/10/08 05:00 CRDT- 2003/09/10 05:00 PHST- 2003/09/10 05:00 [pubmed] PHST- 2003/10/08 05:00 [medline] PHST- 2003/09/10 05:00 [entrez] AID - S0022214303001057 [pii] AID - 10.1016/S0022-2143(03)00105-7 [doi] PST - ppublish SO - J Lab Clin Med. 2003 Aug;142(2):128-35. doi: 10.1016/S0022-2143(03)00105-7.